Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,053.40 / $2,356.00 / $14,482.00	Facility		$1,053.40	$2,356.00	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,955.00 / $13,152.00	Facility		$5,060.00	$7,955.00	$13,152.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,966.49 / $3,466.57 / $5,591.46	Facility		$2,966.49	$3,466.57	$5,591.46
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,053.40 / $1,539.24 / $2,730.00	Facility		$1,053.40	$1,539.24	$2,730.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,151.82 / $2,678.00 / $7,700.00	Facility		$1,151.82	$2,678.00	$7,700.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,053.40 / $1,539.24 / $2,730.00	Facility		$1,053.40	$1,539.24	$2,730.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,430.35 / $3,739.00 / $4,898.20	Professional		$2,430.35	$3,739.00	$4,898.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $15,543.66 / $15,543.66 / $15,543.66	Facility		$15,543.66	$15,543.66	$15,543.66
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,316.80 / $19,003.00	Facility		$2,203.00	$4,316.80	$19,003.00